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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: a-aI `ab)1 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 5JC3 jv(l� i`(`�( C'i(�\L rat`}- R (�� FL-- 3� T i` Property Tax ID #: Lot No. 3a Site Plan Name: _—W k (') ULAM Block No. Project Name: Fe,i i X Cl UIXtKO DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: a� I 01V Cost of Construction: $ �� (6() , _ Windows/Doors _ Pond Sq. Ft. of First Floor: Roof Pitch Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name_ re-f;X 01U,hokg Name: Robert Noeker Company:Service Star Air Conditioning and Heating Address: ) }p3 )unhe-mf Gcrh City: 6(4 f e(Ye- I State: FL Address:18735 E. Colonial Drive Suite 100 Zip Code: 3` ,751 Fax: City: Orlando State: FL Phone No. J��- (oy(,o-io11y Zip Code: 32820 Fax: 407-568-2766 E-Mail: Phone N0772-770-3733 Fill in fee simple Title Holder on next page (if different E-Mail info@servicestarcoolingandheating.com State or County LicenseCAC055560 from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. 9 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: _ Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. Signature of Contractor/License Holder Signature of Owner/ Lessee Contractor as gent for Owner STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF Swp n to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of V Ph sical Pr nce or Online Notarization this day of 2022 by Phyyy�s__ical Pre s ce or Online Notarization this 2 rday ofi. 202$. by _?44VA. Name of person making statement. Name of person making statement. Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Type of Identification Pr uced Produced (Signature of Notary ub ic- State of Florida) Signature of Notary Publ' - S to of Florida ) Commission No. � •., Aar 1kLATT�E Commission Notary Public - State of Florida c`r Commission GG 915595>. .o�P gee.. DA LITTLE Notar Public - State of Florida y REVIEWS F NT Bon My Comm. Expires e26-Nl:Wation Jan 19, 2024 I t' OR PLANS 9h ;;� :° c�`t;' My Co EGETA TkOWth,o TM lm. ExXpires Jan 19 202 g�1�AiWU 4 A s s i. ANGROVE CO IEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. Eligible for Federal Tax Credit Certificate of Product Ratings AHRI Certified Reference Number: 204717664 Date : 02-21-2022 Model Status : Active AHRI Type: HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source) Outdoor Unit Brand Name: RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RP1542BJ1 Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T4821 STAN The manufacturer of this RHEEM product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 210/240 - 2017 with Addendum 1, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 40000 SEER: 15.00 EER (A2) - Single or High Stage (95F) : 12.50 Heating Capacity (H12) - Single or High Stage (47F) : 36000 HSPF (Region IV) : 9.00 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown alono with the previous (i.e. WAS) rating. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and «. confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we make life better*" and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right. 132899312589466312 ©2022Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: